<div class="well">
<form method="POST" action="" class="form-horizontal">
<input type="hidden" name="<?php echo $this->security->get_csrf_token_name()?>" value="<?php echo $this->security->get_csrf_hash()?>" >
<fieldset>
<h2>Create an account - 8.60</h2>
<div class="control-group">
<label class="control-label" for="accountName">Account name</label>
<div class="controls">
<input placeholder="4 to 30 characters" type="text" class="input-large" id="accountName" name="accountName" maxlength="30">
</div>
</div>
<div class="control-group">
<label class="control-label" for="accountPassword">Account password</label>
<div class="controls">
<input placeholder="6 to 50 characters" type="password" class="input-large" id="accountPassword" name="password" maxlength="50">
</div>
</div>
<div class="control-group">
<label class="control-label" for="accountPassword2">Confirm password</label>
<div class="controls">
<input placeholder="Repeat your password" type="password" class="input-large" id="accountPassword2" name="cPassword" maxlength="50">
</div>
</div>
<div class="control-group">
<label class="control-label" for="email">E-mail address</label>
<div class="controls">
<input placeholder="3 to 255 characters" type="text" class="input-large" id="email" name="email" maxlength="255">
</div>
</div>
<div class="form-actions">
<button type="submit" class="btn btn-primary">Submit</button>&nbsp;
<button type="reset" class="btn">Cancel</button>
</div>
</fieldset>
</form>
</div>